Zhonghua Nei Ke Za Zhi. 2024 Nov 1;63(11):1059-1077. doi: 10.3760/cma.j.cn112138-20240531-00360.
Rheumatoid arthritis(RA) is an autoimmune disease characterized by erosive arthritis, which is an important cause of disability in Chinese population. It is of great significance to formulate and update RA diagnosis and treatment guidelines that meet the standards of international guidelines and clinical practice in China. The update of the Chinese guidelines for the diagnosis and treatment of RA was initiated by National Clinical Research Center for Dermatologic and Immunologic Diseases, jointly with the Chinese Association of Rheumatology and Immunology Physicians, the Rheumatology and Immunology Professional Committee of Chinese Rehabilitation Medical Association, the Rheumatology and Immunology Professional Committee of Chinese Research Hospital Association, and the Rheumatology and Immunology Branch of Beijing Association of Holistic Integrative Medicine. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach and the Reporting Items for Practice Guidelines in Healthcare (RIGHT) checklist were followed to update the guidelines. The guidelines provide evidence-based recommendations on 10 clinical issues which were concerned by Chinese rheumatologists. The aim is to improve the level of diagnosis and standard treatment of RA in China, and to improve the quality of life and prognosis of patients.
类风湿关节炎(RA)是一种以侵蚀性关节炎为特征的自身免疫性疾病,在中国人群中,它是导致残疾的一个重要原因。制定并更新符合国际指南标准且适用于中国临床实践的RA诊断和治疗指南具有重要意义。中国RA诊断和治疗指南的更新由国家皮肤与免疫疾病临床医学研究中心发起,联合中国风湿免疫科医师协会、中国康复医学会风湿免疫专业委员会、中国研究型医院学会风湿免疫专业委员会以及北京整合医学学会风湿免疫分会共同进行。更新指南遵循了推荐分级的评估、制定与评价(GRADE)方法以及医疗卫生实践指南报告条目(RIGHT)清单。该指南针对中国风湿科医生关注的10个临床问题提供了基于证据的推荐意见。目的是提高中国RA的诊断水平和规范治疗,改善患者的生活质量和预后。